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Information Collection

Nutrition and Physical Activity Tracker Log / Health Tracker

IC 202692 under ICR 201303-0920-012 · OMB 0920-0965.

Documents and Forms
Document Name
Document Type
Other-null
Information Collection (IC) Details

View Information Collection (IC)

Nutrition and Physical Activity Tracker Log / Health Tracker
 
No Modified
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-null Attachment_F-6_Nutrition_Physical Activity_Tracking_Log_Health_Tracker.docx No   Fillable Printable

Health Public Health Monitoring

 

2,285 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 2,285 0 2,285 0 0 0
Annual IC Time Burden (Hours) 1,143 0 1,143 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.